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Effectiveness of the Birleson Depression Self-Rating Scale (DSRS) in screening for depression in vulnerable young males with severe emotional and behaviour difficulties in a residential setting

Colin Martin, Denise Carroll, Tim Duffy

Abstract


Depression in Looked After and Accommodated Children (LAAC) has been observed as being higher than in adolescents in the general population. The Birleson assessment instrument is frequently used to assess depression in young people. The focus of this paper is the evaluation of the effectiveness of the Birleson depression self-rating scale as an effective screening instrument for depression in adolescent males with emotional, behavioural, educational and social difficulties. One hundred and eighty-one participants from a Scottish residential centre (The Centre) for young males with severe emotional and behavioural difficulties participated in the study. The young people at the Centre consisted of 3 distinct groups: day pupils, residential and secure care (looked after and accommodated young people). As part of the admission process they completed the Birleson Depression Self-Rating Scale (DSRS) and also the standard professional approved Scottish LAAC health assessment. The analysis in this study showed that young people in secure care had a significantly higher level of depression than those in day care, as measured by the Birleson DSRS. Within the LAAC population at the Centre, a comparison of the Birleson DSRS detection rates for depression was made with findings from the standard health assessment. Prior to admission, 3% of the young people (n=6) at the centre had a previous clinical diagnosis of depression. The Birleson DSRS failed to identify 4 out of these 6 young people. The standard LAAC health assessment identified that 15% of LAAC (n=26) had current suicidal ideation/behaviours. Of the young people at the Centre who had current suicidal behaviours, the Birleson DSRS did not identify 27% of them. This raises concerns about the sensitivity of the Birleson DSRS to identify depression in this vulnerable population.

Keywords


Behavioural difficulties, Birleson Depression Self-Rating Scale (DSRS), depression, depression screening, Looked After and Accomodated Children (LAAC), patient-centered care, person-centered psychiatry, residential setting

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References


Harrington, R.C., Kroll, L., Rothwell, J., McCarthy, K., Bradley, D. & Bailey, S. (2005). Psychosocial needs of boys in secure care for serious or persistent offending. Journal of Child Psychology and Psychiatry 46 (8) 859-866.

Kendall, P., Kane, M., Howard, B. & Sigueland, L. (1990). Cognitive-behavioural therapy for anxious children: Treatment Manual. Ardmore: Workbook Publishing.

Wang, Y., Lederman, L.P., Andrade, L.H. & Gorestein, C. (2008). Symptoms expression of depression among Jewish adolescents: effects of gender and age. Social Psychiatry and PsychiatricEpidemiology 43 (1) 79-86.

Cocker, C. & Scott, S. (2006). Improving the mental and emotional well-being of looked after children: connecting research, policy and practice. Journal of the Royal Society for the Promotion of Health 126 (1) 18-23.

Bundle, A. (2002). Health of teenagers in residential care: comparison of data held by care staff with data in community child health records. Archives of Disease in Childhood 84, 10-14.

Wade, J., Biehal, N., Farrelly, N. & Sinclair, I. (2010). Maltreated children in the looked after system: A comparison of outcomes for those who go home and those who do not. Research Brief ISBN 978-1-84775-790-6. [Online]. Available at: https://www.education.gov.uk/publications//eOrderingDownload/DFE-RBX-10-06.pdf [Accessed: 10 June 2011].

Bramford, F. & Wolkind, S. (1998). The physical and mental health of children in care: research needs. London: Economic and Research Council.

McCann, J., James, A., Wilson, S. & Dunn, G. (1996). Prevalence of psychiatric disorders in young people in the care system. British Medical Journal 313 (7071) 1529-1530.

Meltzer, H., Lader, D., Corbin,T., Goodman, R. & Ford, T. (2004). The Mental Health of young people looked after by local authorities in Scotland. London: National Statistics TSO.

Pilowsky, D. (1995). Psychopathology among children placed in family foster care. Psychiatric Services 46 (9) 906-910.

Residential Care Health Project. (2004). Forgotten Children: addressing the health needs and issues of Looked after Children and Young People. Edinburgh: Astron.

Nicol, R., Stretch, D., Whitney, I., Jones, K., Garfield, P., Turner, K. & Stanion, B. (2000). Mental health needs and services for severely troubled and troubling young people including young offenders in an NHS region. Journal of Adolescence 23,243-261.

Anckarsäter, H., Nilsson, T., Ståhlberg, O., Gustafson, M., Saury, J.M., Råstam, M. & Gillberg, C. (2007). Prevalence and configurations of mental disorders among institutionalized adolescents. Developmental Neurorehabilitation 10 (1) 57-65

Meltzer, H., Gatward, R., Goodman, R. & Ford, T. (2000). Mental health of children and adolescents in Great Britain. London: The Stationery Office.

Talbot, R. (2002). Looking After the Mental Health of Looked after Children. In: Young Minds. East Sussex: Pavilion Publications.

Laye-Gindhu, A. & Schonert-Reichl, K. (2005). Non suicidal self-harm among community adolescents: understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence 34 (5) 447-457.

Scott, J. & Hill, M. (2006). The health of looked after and accommodated children: Messages for research. Edinburgh: Social Work Inspection Agency.

Choose Life. (2010). Choose Life Summit 2010. [Online]. Available at: http://www.chooselife.net/ChooseLifeAnnualSummit/ChooseLifeSummit2010.asp [Accessed: 10 June 2010].

Fortune, A. & Hawton, K. (2005). Deliberate self harm in children and adolescents: a research update. Child and Adolescent Psychiatry 18 (4) 401-406.

Carr, A. (2005). The Handbook of Child and Adolescent Clinical Psychology: A contextual approach. London: Routledge.

Diamond, C. & Misch, P. (2002). Psychiatric Morbidity in Children Remanded to Prison Custody - A Pilot Study. Journal of Adolescence 25, 681-689.

Birleson, P. (1981). The validity of depressive disorder in childhood and the developments of self-rating scale: A research report. Journal of Child Psychology and Psychiatry 22 (1) 73-88.

Ivarrson, T., Lidberg, A. & Gilberg, C. (1994). The Birleson Depression Self-Rating Scale (DSRS): Clinical evaluations in an adolescent inpatient population. Journal of Affective Disorders 32 (2) 115-125.

Birleson, P., Hudson, I., Buchanan, D.G. & Wolff, S. (1987). Clinical evaluation of a self rating scale for depressive disorder in childhood (Depression Self–rating Scale). Journal of Child Psychology and Psychiatry 28 (1) 43-60.

Denda, K., Kako, Y., Kitagawa, N. & Koyama, T. (2006). Assessment of depressive symptoms in Japanese school children and adolescents using the Birleson depression self-rating scale. International Journal of Psychiatry in Medicine 36 (2) 231-241.

Ivarrson, T., Lidberg, A & Gilberg, C. (1997). Depressive symptoms in Swedish adolescents: Normative data using the Birleson Depression Self Rating Scale (DSRS). Journal of Affective Disorders 42 (1) 59-68.

Kashani, J., Roseberg, T. & Reid, J.C. (1989). Developmental perspectives in child and adolescent depressive symptoms in a community sample. American Journal of Psychiatry 146, 871-875.

Kazdin, A.E. (1985). Treatment of antisocial behaviour in children and adolescents. Pacific Grove, CA: Brooks/Cole.

Needham, B. (2008). Reciprocal relationships between symptoms of depression and parental support during the transition from adolescence to young adulthood. Journal of Youth and Adolescence 37 (8) 893-905.




DOI: http://dx.doi.org/10.5750/ejpch.v2i3.728

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